WEST COAST UNIVERSITY ATI FUNDAMENTALS
PROCTORED MIDTERM EXAM QUESTIONS AND
CORRECT ANSWER WITH EXPLANATION LATEST 2025-
2026
1. A nurse is caring for a client experiencing shortness of breath. Which action should the
nurse take first?
A. Encourage fluids
B. Assess oxygen saturation
C. Offer food
D. Ambulate client
Answer: B
Rationale: Assessment of oxygenation is the priority in respiratory distress.
2. Which intervention is most effective in preventing infection transmission?
A. Wearing gloves only
B. Hand hygiene
C. Isolation precautions only
D. Antibiotic therapy
Answer: B
Rationale: Hand hygiene is the most effective method for preventing infection spread.
3. What is the normal adult heart rate range?
A. 40–50 bpm
B. 50–60 bpm
C. 60–100 bpm
D. 110–140 bpm
Answer: C
Rationale: The normal adult pulse range is 60–100 beats/minute.
,4. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with chest pain and diaphoresis
C. Client waiting for discharge
D. Client asking for water
Answer: B
Rationale: Chest pain with diaphoresis may indicate myocardial infarction and requires
immediate assessment.
5. Which position is best for a client with respiratory distress?
A. Supine
B. Sims’
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s position maximizes lung expansion.
6. Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Increased thirst
C. Sweating and tremors
D. Warm dry skin
Answer: C
Rationale: Sweating and tremors are common signs of low blood glucose.
7. Which action is priority during a seizure?
A. Restrain the client
B. Insert object into mouth
C. Protect client from injury
D. Offer water
, Answer: C
Rationale: Safety and injury prevention are the priorities during seizures.
8. Which assessment finding indicates dehydration?
A. Edema
B. Moist mucous membranes
C. Poor skin turgor
D. Bounding pulse
Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration.
9. Which pulse site should the nurse assess during CPR in an adult?
A. Radial
B. Pedal
C. Carotid
D. Brachial
Answer: C
Rationale: The carotid pulse is recommended for adult CPR assessment.
10. Which action demonstrates proper sterile technique?
A. Reaching across sterile field
B. Holding sterile objects below waist
C. Keeping sterile field dry
D. Touching sterile items with bare hands
Answer: C
Rationale: Moisture contaminates a sterile field.
11. Which finding suggests infection?
A. Bradycardia
B. Fever and redness
PROCTORED MIDTERM EXAM QUESTIONS AND
CORRECT ANSWER WITH EXPLANATION LATEST 2025-
2026
1. A nurse is caring for a client experiencing shortness of breath. Which action should the
nurse take first?
A. Encourage fluids
B. Assess oxygen saturation
C. Offer food
D. Ambulate client
Answer: B
Rationale: Assessment of oxygenation is the priority in respiratory distress.
2. Which intervention is most effective in preventing infection transmission?
A. Wearing gloves only
B. Hand hygiene
C. Isolation precautions only
D. Antibiotic therapy
Answer: B
Rationale: Hand hygiene is the most effective method for preventing infection spread.
3. What is the normal adult heart rate range?
A. 40–50 bpm
B. 50–60 bpm
C. 60–100 bpm
D. 110–140 bpm
Answer: C
Rationale: The normal adult pulse range is 60–100 beats/minute.
,4. Which client should the nurse assess first?
A. Client requesting pain medication
B. Client with chest pain and diaphoresis
C. Client waiting for discharge
D. Client asking for water
Answer: B
Rationale: Chest pain with diaphoresis may indicate myocardial infarction and requires
immediate assessment.
5. Which position is best for a client with respiratory distress?
A. Supine
B. Sims’
C. High Fowler’s
D. Trendelenburg
Answer: C
Rationale: High Fowler’s position maximizes lung expansion.
6. Which finding indicates hypoglycemia?
A. Fruity breath odor
B. Increased thirst
C. Sweating and tremors
D. Warm dry skin
Answer: C
Rationale: Sweating and tremors are common signs of low blood glucose.
7. Which action is priority during a seizure?
A. Restrain the client
B. Insert object into mouth
C. Protect client from injury
D. Offer water
, Answer: C
Rationale: Safety and injury prevention are the priorities during seizures.
8. Which assessment finding indicates dehydration?
A. Edema
B. Moist mucous membranes
C. Poor skin turgor
D. Bounding pulse
Answer: C
Rationale: Poor skin turgor is a classic sign of dehydration.
9. Which pulse site should the nurse assess during CPR in an adult?
A. Radial
B. Pedal
C. Carotid
D. Brachial
Answer: C
Rationale: The carotid pulse is recommended for adult CPR assessment.
10. Which action demonstrates proper sterile technique?
A. Reaching across sterile field
B. Holding sterile objects below waist
C. Keeping sterile field dry
D. Touching sterile items with bare hands
Answer: C
Rationale: Moisture contaminates a sterile field.
11. Which finding suggests infection?
A. Bradycardia
B. Fever and redness
